Remote Insurance Verification & Authorization Specialist

Mass General Brigham; United States; Remote; USD 29,000 - 39,000; Full time

Job summary

Mass General Brigham Remote position for an Insurance Verification Representative supports coordination between hospital staff, insurance companies, and patients to secure reimbursement for services. You verify coverage, obtain pre-authorization, and educate patients on benefits and costs.

The role collaborates with physicians and nurses to ensure accurate documentation, resolves coverage issues, processes claims promptly, and adheres to regulations.

Qualifications

• High School Diploma or Equivalent required and Associate’s Degree Related Field of Study preferred
• Epic experience, as well as referral or authorization experience in a healthcare setting highly preferred
• Previous experience in healthcare administration, insurance authorization/verification, scheduling, or medical billing 2-3 years required

Responsibilities

• Verify insurance coverage and eligibility for patients prior to medical procedures or hospital admissions.
• Obtain pre-authorization from insurance companies for various medical procedures, surgeries, and diagnostic tests.
• Collaborate with healthcare providers, including physicians and nurses, to ensure accurate and complete documentation for insurance claims.
• Communicate with insurance companies to resolve any coverage issues or denials, advocating for the best interests of the hospital and patients.
• Educate patients about their insurance benefits, coverage limitations, and financial responsibilities.
• Assist patients in understanding and navigating the insurance claim process, including explanation of benefits (EOB) and billing statements.
• Process and submit insurance claims accurately and in a timely manner, adhering to industry regulations and guidelines.

Skills

Insurance verification

Epic experience

Authorization experience

Scheduling

Medical Billing

Healthcare administration

Communication

Attention to detail

Education

High School Diploma or Equivalent

Associate’s Degree Related Field of Study

Tools

Epic Systems

Job description

Mass General Brigham Remote position for an Insurance Verification Representative supports coordination between hospital staff, insurance companies, and patients to secure reimbursement for services. You verify coverage, obtain pre-authorization, and educate patients on benefits and costs.

The role collaborates with physicians and nurses to ensure accurate documentation, resolves coverage issues, processes claims promptly, and adheres to regulations.